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Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
- CBC with differential ... Carboxyhemoglobin level ... tox/infectious workup ... Substantially reduced level ... of infection (fever
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
coagulopathy, decreased level ... CNS infection: fever ... at home or at work ... Dangerous #Deadly #Differential
PocketPEM - Pediatric Fever Workup #Diagnosis #Peds #EM #Fever #Pediatric #Fever #Workup #PocketCard #PocketPEM
PocketPEM - Pediatric Fever ... Workup #Diagnosis ... #Peds #EM #Fever ... #Pediatric #Fever ... #Workup #PocketCard
Ever had a #traveler come in to your clinic with #fever and you were not sure
Ever had a #traveler ... your clinic with #fever ... to narrow your differential ... #differentials # ... infectiousdisease #fever
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... , Drug fever ... #bradycardia #differential
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Fever of Unknown ... FUO) - Further Workup ... Refer to your ‘Fever ... udaygulati #FUO #Fever ... UnknownOrigin #workup
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Differential Diagnosis ... Continuous Fever ... (Step ladder: fever ... #Patterns #Differential
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... , Drug fever ... bradycardia #Causes #differential
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Fever in Returning ... Regions - Frequent Differential ... Symptoms: • Fever ... , Dengue fever, ... Returning #Traveler #differential
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
• Typhoid Fever ... • Drug Fever ... Typhoid Fever (S ... help hone your differential ... Dissociation #diagnosis #differential